Clark Peter Johnson in Battle Creek - Podiatrist
Clark Peter Johnson - NPI 1548220700
Clark Peter Johnson is a Podiatrist in Battle Creek, Michigan. Clark Peter Johnson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Clark Peter Johnson is 1548220700. The last update date is 2007-08-20.
Clark Peter Johnson's current location address is 213 North Ave, Battle Creek, Michigan. You can contact this provider via phone number 2699686000 and fax number 2699683015. The mailing address for Clark Peter Johnson is 213 North Ave, Battle Creek, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Peter Johnson |
|---|---|
| Address | 213 North Ave, Battle Creek, Michigan |
| Phone Number | 2699686000 |
| Fax Number | 2699683015 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1548220700 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 213 North Ave |
|---|---|
| City | Battle Creek |
| State | Michigan (MI) |
| Post Code | 490173430 |
| Phone Number | 2699686000 |
| Fax Number | 2699683015 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 5901000962 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4851350000 | MI | BCBSM | |
| 980190001 | MI | ADMINASTAR DMERC | |
| 5212079 | MI | AETNA | |
| 1342674 | MI | -- | |
| 2730002 | MI | PHP IBA | |
| 121508 | MI | PREFERRED CHOICES | |
| P53895 | MI | BLUE CARE NETWORK |
Post Comment/ Review Below
What is the Clark Peter Johnson's 1548220700?
The Clark Peter Johnson's NPI (National Provider Identifier) Number is 1548220700. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clark Peter Johnson's facilities are geographically located?
The facilities of Clark Peter Johnson are physically situated at the following location: 213 North Ave, Battle Creek, MI, 490173430.
What is Clark Peter Johnson's area of expertise and its corresponding taxonomy classification?
The Clark Peter Johnson's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548220700 to Clark Peter Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1548220700 to Clark Peter Johnson on 2006-03-23.
As of what date was the information pertaining to Clark Peter Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clark Peter Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-20.